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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

Other Rickettsial Disease of concern from non-tick vectors (CDC Yellow Book 2024) Murine Typhus Causative Agent: Rickettsia typhi and the principal vector is the Asiatic rat flea. These resolve within 1 week. Some individuals recall direct exposures to rats when travelling. Mortality rate is 3-5% for Kyasanur Forest disease and 0.5-3%

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PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

Technique Positioning and Probe Figure 1: Younger children can sit in their parent’s lap and give a hug for lateral and posterior lung scanning. The patient should be in a position of comfort: supine, sitting, or in parent’s lap (Figure 1). Distractions such as a toy, book, or phone/tablet can also help ease anxiety.

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Fake it 'Til You Make It… and other diseases you pretend to know

FOAMfrat

While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. In his new book, Clinical Airway Management , Austin Kiser writes, “Our individual clinical expertise has nothing to do with our organization. Knowledge is power.

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Ep 132 Osteogenesis Imperfecta: All bones about it

This Podcast Will Kill You

Natalie is a New York Times bestselling author of novels for young readers, whose recently published award-winning book Hummingbird tells the story of a young girl with OI. Heartwarming, magical, and brilliant, this wonderful book is a must-read. 2002): 1-7. Nature Reviews Endocrinology , 7 (9), pp.540-557. Tune in today!

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Are we on the right TRACT? 

Don't Forget the Bubbles

Maitland K, Olupot-Olupot P, Kiguli S, et al. doi:10.1056/NEJMoa1900100 Maitland K, Kiguli S, Olupot-Olupot P, et al. The study asked TWO questions: 1. Immediate vs delayed transfusion In uncomplicated severe anaemia, immediate blood transfusion did not alter mortality at 1- or six months compared to controls.

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Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

But these cases show the potential dangers of delayed recognition and treatment of inferior reperfusion Take away 1. ECG’s can be labeled as ‘normal’ by the computer (and confirmed by cardiology) even with diagnostic signs of occlusion or reperfusion References 1. Backus BE, Six AJ, Kelder JC, et al. JAMA Intern Med 2019 9.

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The Private Equity Wave in Health Care

ACEP Now

1 Immediately after the purchase, the real estate holdings of the hospitals were spun off into a separate company owned by Paladin and other PE investors. 7-9 The PE model then aims to sell acquired businesses for a profit within three to six years. Appelbaum E, Batt R. Sheffler RM, Alexander L, Fulton BD, et al.

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